Provider Demographics
NPI:1255022216
Name:BARR, BESS-MARIE (LDO)
Entity type:Individual
Prefix:
First Name:BESS-MARIE
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MORNING BEACH DR UNIT 28
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2821
Mailing Address - Country:US
Mailing Address - Phone:360-319-6276
Mailing Address - Fax:
Practice Address - Street 1:8924 34TH AVE NE
Practice Address - Street 2:
Practice Address - City:QUIL CEDA VILLAGE
Practice Address - State:WA
Practice Address - Zip Code:98271-8076
Practice Address - Country:US
Practice Address - Phone:360-657-5513
Practice Address - Fax:360-657-5513
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADO00002035156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician